Making the new deal for junior doctors happen

The traditional model of surgical service is in the process of change. Classically, a consultant surgeon would have the services of an SpR, staff and associate specialist (SAS) and SHO in clinic and theatre. The implementation of the New Deal and the European Working Time Directive has led to a significant reduction in the number of hours worked by junior doctors. Consequently, nearly all SHOs are working a full-shift pattern and most SpRs are moving onto full-shift rotas to ensure out-of-hours service is maintained. This reduction in the number of junior doctors available during the normal working day has increased the development of extended roles for non-medical professionals.

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A mathematical specification of the New Deal on junior doctors' hours

Medical Informatics and the Internet in Medicine ◽

10.1080/14639230310001600489 ◽

2003 ◽

Vol 28 (2) ◽

pp. 129-134

Author(s):

TODD BS

Keyword(s):

New Deal ◽

Junior Doctors ◽

The New Deal

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Working time regulations and the new deal

Morecambe Bay Medical Journal ◽

10.48037/mbmj.v5i11.481 ◽

2009 ◽

Vol 5 (11) ◽

pp. 339-342

Author(s):

Michael Bird

Keyword(s):

New Deal ◽

Working Time ◽

Junior Doctors ◽

Clinical Services ◽

University Hospitals ◽

The Hours ◽

The University ◽

Working Time Directive ◽

The New Deal ◽

And Training

The Working Time Directive (WTD) has now been applied to limit the hours worked by junior doctors. Can the University Hospitals of Morecambe Bay Trust (UHMBT) rise to the challenge of implementing this directive for consultant staff while maintaining clinical services and training? This summary of the WTD (see below) is taken from the Trust’s newsletter, published as the Weekly News, and edited by Rachael Whitaker, whose contribution we acknowledge. The Journal has adapted the document to fit the consultant contract: is it achievable for consultants? The Journal asked Mike Bird, a member of the Local Negotiating Committee for Consultants.

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Making the new deal for junior doctors happen

BMJ ◽

10.1136/bmj.308.6943.1553 ◽

1994 ◽

Vol 308 (6943) ◽

pp. 1553-1555 ◽

Cited By ~ 3

Author(s):

J K Moore ◽

W D Neithercut ◽

A S Mellors ◽

D Manning ◽

C A Makin ◽

...

Keyword(s):

New Deal ◽

Junior Doctors ◽

The New Deal

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The Team Doesn't Work: Trialling an EWTR. Compliant, Firm - Based Junior Doctor Rota

Bulletin of The Royal College of Surgeons of England ◽

10.1308/147363513x13500508918539 ◽

2013 ◽

Vol 95 (1) ◽

pp. 23-26

Author(s):

R Williams ◽

J Wilcox ◽

A Wilkins ◽

A Marchbank

Keyword(s):

New Deal ◽

Working Conditions ◽

Junior Doctor ◽

Junior Doctors ◽

Current Limit ◽

Rest Periods ◽

The New Deal

The current restrictions in junior doctors' working conditions began in 1991 when the New Deal defined maximum lengths of shift and minimum rest periods for doctors in training posts. The european WorkingTime Regulations (EWTR) state that no employee can be forced to work more than 48 hours per week as averaged over 17 weeks. The current limit of 48 hours per week has been in force since August 2009, following interim limits of 72 and 56 hours per week.

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Service innovation: psychiatrists on call – the community at night

Psychiatric Bulletin ◽

10.1192/pb.bp.106.009811 ◽

2007 ◽

Vol 31 (2) ◽

pp. 65-67

Author(s):

Laurence Mynors-Wallis ◽

Denise Cope

Keyword(s):

Medical Care ◽

New Deal ◽

Health Professionals ◽

Service Innovation ◽

European Working Time Directive ◽

Junior Doctors ◽

Out Of Hours ◽

European Working ◽

Working Time Directive ◽

The New Deal

There have been significant changes in the provision of medical care in hospitals at night. The initial catalyst for this was the New Deal for Junior Doctors but more recently the European Working Time Directive requiring doctors' hours to be reduced to 56 in 2002 and to 48 by 2009. The reduced availability of junior doctors in hospitals at night has had a range of implications, including the necessity to train other health professionals to do work previously undertaken by doctors and a reduction in the number of specialist doctors available out of hours. The expectation is that staff in the hospital at night will be equipped to deal appropriately and safely with emergency work across specialties, rather than each specialty covering their own patients.

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Junior psychiatrists and the “new deal”

Psychiatric Bulletin ◽

10.1192/pb.17.4.227 ◽

1993 ◽

Vol 17 (4) ◽

pp. 227-228

Author(s):

Simon Smith ◽

Simone England ◽

Monica Doshi ◽

Mark Weaver

Keyword(s):

New Deal ◽

Junior Doctors ◽

Total System ◽

Hours Worked ◽

Full Shift ◽

The New Deal

The “new deal” for junior doctors is set to ensure reduction of hours worked to a maximum of 72 per week by the end of 1996. To facilitate this reduction, juniors with a higher workload are being asked to consider alternative working patterns to the traditional “on-call” total system, and either work full shift systems (e.g. as in casualty departments) or a partial shift system that falls between these two extremes.

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